Anticipatory pleasure for future experiences in schizophrenia spectrum disorders and major depression: A systematic review and meta‐analysis
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Objectives: Deficits in anticipating pleasure may be an important dimension of anhedonia and functioning in psychiatric disorders, particularly schizophrenia and depression; however, inconsistent findings have limited the conclusions that can be drawn. We conducted the first systemic review and meta‐analysis of the extant literature for research comparing psychiatric groups to healthy control groups on anticipatory pleasure. Methods: Academic Search Complete, Science Direct, and CINAHL databases were systematically searched up to 9 June 2018 for relevant peer‐reviewed articles, book chapters, and dissertations. Reference lists were also hand searched. A total of 36 studies were included in the review. Results: A moderate‐sized deficit was observed in schizophrenia spectrum disorders ( k = 32, 1,851 patients and 1,449 controls, g = −0.42 [95% CI = −0.53 to −0.31], p < .001), and a large deficit in major depression ( k = 415 patients and 506 controls, g = −0.87 [95% CI = −1.23 to −0.51], p < .001), with this effect being significantly larger for depression ( p < .05). Meta‐regression showed that heterogeneity was partially explained in schizophrenia spectrum by longer duration of illness and lower cognitive functioning predicting larger deficits. In depression, some evidence was found that ruling out a history of psychiatric illness in controls may be related to larger effects. There was evidence for small study bias inflating estimates in schizophrenia spectrum disorders. Conclusions: Deficits in anticipatory pleasure are manifest in these disorders, and significantly more so in major depression. These findings indicate a possible therapeutic target to link cognitive, affective, and behavioural factors that precipitate and maintain disorder. Practitioner points: Anticipatory pleasure is impaired in schizophrenia spectrum and major depression. A particular focus on enhancing anticipatory pleasure may improve motivation for rewarding behaviour and psychosocial functioning. The review contained only a small number of studies for major depression. Given the heterogeneity in effects, there are likely to be more moderators of anticipatory pleasure that require examination.
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Anticipatory pleasure and consummatory pleasure may be suppressed in mental health disorders.
“Anticipatory pleasure (related to motivation to engage in rewarding and goal-directed behavior) and consummatory pleasure (momentary pleasure that is experienced while engaged in an enjoyable activity) may be suppressed in mental health disorders [93, 94]”
From Patient-reported outcome measures for life engagement in mental health: a systematic review (2022) · cites this paper as [93]
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Simon, J. J., Zimmermann, J., Cordeiro, S. A., Marée, I., Gard, D. E., Friederich, H., Weisbrod, M., & Kaiser, S. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.11.060 · Cited by 27 · see citing works
Lee, J.-S., Chun, J.-W., Kang, J.-I., Kang, D.-I., Park, H.-J., & Kim, J.-J. (2012) · Psychiatry Research · doi:10.1016/j.pscychresns.2011.09.004 · Cited by 26 · see citing works
Anhedonia in schizophrenia: the role of subjective experiences
Fortunati, R., Ossola, P., Camerlengo, A., Bettini, E., De Panfilis, C., Tonna, M., Maggini, C., & Marchesi, C. (2015) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2015.07.011 · Cited by 21 · see citing works
Edwards, C., Cella, M., Tarrier, N., & Wykes, T. (2015) · Schizophrenia Research · doi:10.1016/j.schres.2015.08.013 · Cited by 21 · see citing works
Zou, Y.-M., Ni, K., Yang, Z., Li, Y., Cai, X., Xie, D., Zhang, R., Zhou, F., Li, W., Lui, S. S. Y., et al. (2017) · Schizophrenia Research · doi:10.1016/j.schres.2017.08.048 · Cited by 19 · see citing works
Functional neural correlates of social approval in schizophrenia
Makowski, C., Lepage, M., & Harvey, P. (2015) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsv125 · Cited by 16 · see citing works
Subjective pleasure experience in patients with recent-onset schizophrenia: A preliminary report
Lui, S. S. Y., Wang, Y., Shi, Y., Au, A. C. W., Wong, P. T. Y., Chu, Z. L. S., Kring, A. M., Cheung, E. F. C., & Chan, R. C. K. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2015.04.013 · Cited by 15 · see citing works
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Patient-reported outcome measures for life engagement in mental health: a systematic review
McIntyre, R. S., Ismail, Z., Watling, C. P., Weiss, C., Meehan, S. R., Musingarimi, P., & Thase, M. E. (2022) · Journal of Patient-Reported Outcomes · doi:10.1186/s41687-022-00468-5 · Cited by 48 · see citing works
- Authors
- Hallford, D. J., & Sharma, M. K.
- Affiliations
- Deakin University (AU)
- National Institute of Mental Health and Neurosciences (IN)
- Corresponding author
- Hallford, David J.
- Venue
- British Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2019-03-10
- Volume
- 58
- Issue
- 4
- Pages
- 357-383
- ISSN
- 0144-6657 (ISSN-L)
- 2044-8260
- OpenAlex
- W2921661066
- Cited by
- 84
- References
- 109
- Citations by year
- 2026: 18 · 2025: 12 · 2024: 12 · 2023: 15 · 2022: 5 · 2021: 12 · 2020: 7 · 2019: 3
- FWCI
- 1.13
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- British Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- anticipatory pleasure, anhedonia, schizophrenia spectrum disorders, major depressive disorder, reward anticipation, cognitive function, disease duration, small-study bias, therapeutic target
- MeSH terms
- Adult, Major Depressive Disorder, Depressive Disorder, Major, Female, Humans, Male, Schizophrenic Psychology, Pleasure
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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